MRW Insurance Services

Group Quote

General Information
Contact Name *
Contact Email *

Name of Business
Nature of Business
Address
City
State
Zip
Business Phone
Fax
Life and AD&D Coverage
Number of Employees
Number of Employees Eligible
Current Carrier
Renewal Date
Current Rate
Renewal Rate
Flat Amount
Group Health Coverage
Number of Employees
Number of Employees Eligible
Current Plan HMO  POS  PPO  Indemnity
Plan to Quote HMO  POS  PPO  Indemnity
Desired Deductible
Desired Co-Pay
Desired Co-Insurance
Group Dental Coverage
Number of Employees
Number of Employees Eligible

Class A Deductible
Class B Deductible
Class C Deductible

Class A Co-Insurance
Class B Co-Insurance
Class C Co-Insurance
Calendar Year Maximum
Group Disability Coverage
Number of Employees
Number of Employees Eligible
Current Plan STD  LTD
Current Carrier
Renewal Date

Current Rates STD
Renewal Rates STD
Elimination Period STD
Percentage Payable STD
Maximum Benefit STD
Duration Benefits STD

Current Rates LTD
Renewal Rates LTD
Elimination Period LTD
Percentage Payable LTD
Maximum Benefit LTD
Duration Benefits LTD
Comments
Employee census information including Date of Birth, Sex, Job Title and Earnings will be required. Loss Information will be helpful and may be required on groups over 100 lives.
Please note any other pertinent information or requests for coverages
* = Required Field
Disclaimer Notice - The premiums quoted are estimates based on information you provided. This quotation does not constitute a contract of insurance, nor does it provide coverage for any loss or claim. Coverage can only be bound by an agent with a signed application and a down payment.


Visit or contact us:

AssuredPartners Northeast, LLC
100 Baylis Road, Suite 300
Melville, NY 11747

Phone:  (631) 465-4000
Fax:  (631) 465-4005









MRW Insurance Services is now operating as AssuredPartners Northeast. Our full-service independent insurance agency offering a multitude of insurance products from top-rated companies to fulfill all your insurance needs. Our objective is to provide superior customer service and quality insurance solutions to all our customers. We are dedicated to getting you the best insurance products and services available today to protect you, your family and your business.

We have access to rates with more than 45 insurance companies to get you the best coverage at the lowest cost.

Our dedicated, professional staff members are ready to give you the personal attention you deserve.

Click here for a free quote on your insurance!

 Follow MRW on LinkedIn          Like MRW Group on Facebook 

MRW Clients - Secure Document Upload Link

Pay Your Bill Online

Insurance News

Thu, 19 Oct 2017 13:47:55 +0000
The Travelers Companies today reported $293 million in net income for the t...
Thu, 19 Oct 2017 13:25:29 +0000
Ironshore Insurance Ltd., Singapore Branch, announced an increase in capaci...
Thu, 19 Oct 2017 13:12:31 +0000
Five of the world’s largest risk management associations have agreed to wor...